QUESTIONS AND ANSWERS 2025 – VERIFIED
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Section 1: Fundamentals and Staging (Questions 1-25)
1. What is the primary definition of a pressure injury?
A) A skin tear caused by friction
B) Localized damage to the skin and/or underlying soft tissue, usually over a
bony prominence
C) A burn from prolonged heat exposure
D) An allergic reaction to adhesives
Answer: B) Localized damage to the skin and/or underlying soft tissue,
usually over a bony prominence
2. Which two primary factors contribute to the development of a pressure
injury?
A) Infection and Fever
B) Intensity of Pressure and Duration of Pressure
C) Dehydration and Malnutrition
D) Age and Gender
Answer: B) Intensity of Pressure and Duration of Pressure
3. A Stage 1 pressure injury is characterized by:
A) Full-thickness skin loss
B) Intact skin with non-blanchable redness
C) Exposed bone, tendon, or muscle
D) A blister
Answer: B) Intact skin with non-blanchable redness
4. In a Stage 2 pressure injury, what layer of the skin is lost?
A) Subcutaneous fat
B) Muscle
C) Epidermis and/or dermis
, D) Full-thickness skin
Answer: C) Epidermis and/or dermis
5. A Stage 3 pressure injury involves:
A) Only the epidermis
B) Full-thickness skin loss with visible adipose (fat) tissue
C) Exposed bone, tendon, or ligament
D) Non-blanchable erythema
Answer: B) Full-thickness skin loss with visible adipose (fat) tissue
6. A Stage 4 pressure injury is defined by:
A) Partial-thickness skin loss
B) Full-thickness skin and tissue loss with exposed fascia, muscle, tendon,
ligament, cartilage, or bone
C) An abrasion from friction
D) An unstageable injury due to slough
Answer: B) Full-thickness skin and tissue loss with exposed fascia,
muscle, tendon, ligament, cartilage, or bone
7. An Unstageable pressure injury is:
A) A Stage 1 injury
B) An injury where the stage cannot be determined because it is obscured by
slough or eschar
C) An injury caused by medical devices
D) A superficial moisture-associated skin damage
Answer: B) An injury where the stage cannot be determined because it
is obscured by slough or eschar
8. A Deep Tissue Pressure Injury (DTPI) presents as:
A) A shallow open ulcer
B) Intact or non-intact skin with localized purple or maroon discoloration
C) A clean, granulating wound
D) Blanchable erythema
Answer: B) Intact or non-intact skin with localized purple or maroon
discoloration
, 9. Which pressure injury stage is considered "partial-thickness"?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
Answer: B) Stage 2
10.Blanchable erythema is a sign of:
A) Irreversible tissue damage
B) Normal reactive hyperemia that resolves when pressure is relieved
C) A Stage 4 pressure injury
D) A Deep Tissue Pressure Injury
Answer: B) Normal reactive hyperemia that resolves when pressure is
relieved
11.Slough in a wound appears as:
A) Black, hardened necrotic tissue
B) Yellow, tan, or gray stringy or adherent devitalized tissue
C) Red, bumpy tissue
D) Pink, epithelial tissue
Answer: B) Yellow, tan, or gray stringy or adherent devitalized tissue
12.Eschar in a wound is characterized as:
A) Moist, yellow tissue
B) Black or brown hardened, leathery necrotic tissue
C) New, fragile blood vessels
D) Purple discoloration
Answer: B) Black or brown hardened, leathery necrotic tissue
13.Medical Device-Related Pressure Injuries:
A) Only occur from oxygen tubing
B) Result from the use of devices designed and applied for diagnostic or
therapeutic purposes
C) Should not be staged
D) Are always preventable